Shasta Mello is a Peer Specialist based in St George, UT. Shasta Mello practices in St George, UT. The NPI Number for Shasta Mello is 1255975074 and holds a License No. (Utah).
The current practice location address for Shasta Mello is 474 W 200 N, St George, UT and can be reached out via phone at 435-634-5600.
Location: 474 W 200 N, St George, UT, 84770-4893
Provider Profile Details
NPI Number
1255975074
Provider Name
Shasta Mello
Credential
Provider Entity Type
Individual
Gender
Female
Address
474 W 200 N, St George, UT, 84770-4893
Phone Number
435-634-5600
Fax Number
Provider Enumeration Date
11/05/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
474 W 200 N
City
State
Zip
84770-4505
Phone Number
435-634-5600
Fax Number
Provider Business Mailing Address Details
Address
474 W 200 N
City
State
Zip
84770-4505
Phone Number
435-634-5600
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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